The Association between Sexually Transmitted Infections, Length of Service and Other Demographic Factors in the U.S. Military
Publication Date
December 09, 2016
Authors
Robert Deiss, Richard J. Bower, Edgie Co, Octavio Mesner, et al
Volume
11
Issue
12
Pages
e0167892
DOI
https://dx.plos.org/10.1371/journal.pone.0167892
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0167892
Scopus
85003819826
Mendeley
http://www.mendeley.com/research/association-between-sexually-transmitted-infections-length-service-other-demographic-factors-militar
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Mendeley | Further Information

{"title"=>"The association between sexually transmitted infections, length of service and other demographic factors in the U.S. military", "type"=>"journal", "authors"=>[{"first_name"=>"Robert", "last_name"=>"Deiss", "scopus_author_id"=>"15135793800"}, {"first_name"=>"Richard J.", "last_name"=>"Bower", "scopus_author_id"=>"57192318528"}, {"first_name"=>"Edgie", "last_name"=>"Co", "scopus_author_id"=>"26646364800"}, {"first_name"=>"Octavio", "last_name"=>"Mesner", "scopus_author_id"=>"55504393900"}, {"first_name"=>"Jose L.", "last_name"=>"Sanchez", "scopus_author_id"=>"55853974400"}, {"first_name"=>"Jennifer", "last_name"=>"Masel", "scopus_author_id"=>"56376972700"}, {"first_name"=>"Anuradha", "last_name"=>"Ganesan", "scopus_author_id"=>"12785345600"}, {"first_name"=>"Grace E.", "last_name"=>"Macalino", "scopus_author_id"=>"6701653184"}, {"first_name"=>"Brian K.", "last_name"=>"Agan", "scopus_author_id"=>"6508265493"}], "year"=>2016, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "sgr"=>"85003819826", "scopus"=>"2-s2.0-85003819826", "doi"=>"10.1371/journal.pone.0167892", "pui"=>"613643752", "pmid"=>"27936092", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)"}, "id"=>"c67bb56f-c2c4-3b8d-a714-7c8e33cb2032", "abstract"=>"Background: Numerous studies have found higher rates of sexually transmitted infections (STIs) among military personnel than the general population, but the cumulative risk of acquiring STIs throughout an individual’s military career has not been described. Methods: Using ICD-9 diagnosis codes, we analyzed the medical records of 100,005 individuals from all service branches, divided in equal cohorts (n = 6,667) between 1997 and 2011. As women receive frequent STI screening compared to men, these groups were analyzed separately. Incidence rates were calculated for pathogen-specific STIs along with syndromic diagnoses. Descriptive statistics were used to characterize the individuals within each accession year cohort; repeat infections were censored. Results: The total sample included 29,010 females and 70,995 males. The STI incidence rates (per 100 person-years) for women and men, respectively, were as follows: chlamydia (3.5 and 0.7), gonorrhea (1.1 and 0.4), HIV (0.04 and 0.07) and syphilis (0.14 and 0.15). During the study period, 22% of women and 3.3% of men received a pathogen-specific STI diagnosis; inclusion of syndromic diagnoses increased STI prevalence to 41% and 5.5%, respectively. In multivariate analyses, factors associated with etiologic and syndromic STIs among women included African American race, younger age and fewer years of education. In the overall sample, increasing number of years of service was associated with an increased likelihood of an STI diagnosis (p<0.001 for trend). Conclusion: In this survey of military personnel, we found very high rates of STI acquisition throughout military service, especially among women, demonstrating that STI-related risk is significant and ongoing throughout military service. Lower STI incidence rates among men may represent under-diagnosis and demonstrate a need for enhancing male-directed screening and diagnostic interventions. [ABSTRACT FROM AUTHOR]", "link"=>"http://www.mendeley.com/research/association-between-sexually-transmitted-infections-length-service-other-demographic-factors-militar", "reader_count"=>15, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Researcher"=>1, "Student > Doctoral Student"=>2, "Student > Postgraduate"=>2, "Student > Master"=>5, "Student > Bachelor"=>2, "Lecturer"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Researcher"=>1, "Student > Doctoral Student"=>2, "Student > Postgraduate"=>2, "Student > Master"=>5, "Student > Bachelor"=>2, "Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Biochemistry, Genetics and Molecular Biology"=>2, "Nursing and Health Professions"=>4, "Medicine and Dentistry"=>7, "Social Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>7}, "Social Sciences"=>{"Social Sciences"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>4}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Unspecified"=>{"Unspecified"=>1}}, "group_count"=>0}

Scopus | Further Information

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